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Cultural and Ethical Issues in Working with Culturally Diverse Patients and Their Families : The Use of the Culturagram to Promote Cultural Competent Practice in Health Care Settings

In all aspects of health and mental health care–the emergency
room, the outpatient clinic, inpatient facilities, rehab centers,
nursing homes, and hospices–social workers interact with patients from
many different cultures. This paper will introduce an assessment tool for
health care professionals to advance understanding of culturally diverse
patients and their families.

The increasing cultural diversity of the United States has been the
subject of news articles (Cohn, 2001; Purdum, 2000; Schmitt, 2001), as
well as professional publications (Devore & Schlesinger, 1996;
Gelfand & Yee, 1991; Homma-True, Greene, Lopez, & Temble, 1993;
Lum, 2000; U.S. Census Bureau, 2000). While immigrants in the early
1900s originated primarily from Western European countries, current
immigrants come from Asia, South and Central America, and the Caribbean.
It is projected that in this century over half of Americans will be
from backgrounds other than Western Europe (Congress, 1994).

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Culturally Diverse Patients and Their Families :
The Use of the Culturagram to Promote Cultural
Competent Practice in Health Care Settings

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